NAMS Menopause Certification Exam
Questions and Answers 2025\2026 A+ Grade
Median age of natural menopause
- accurate answers-51 years
Characteristic hormonal change in menopause transition
- accurate answers-Declining estrogen
Reproductive stage of a 49-year-old with irregular periods and vasomotor
symptoms
- accurate answers-Perimenopause
Definition of postmenopause
- accurate answers-12 consecutive months without menstruation
Laboratory finding supporting menopause diagnosis in a 52-year-old woman
- accurate answers-Elevated FSH (>25 IU/L)
Most effective treatment for moderate-to-severe hot flashes
- accurate answers-Hormone therapy
Hormone therapy regimen for postmenopausal woman with intact uterus
- accurate answers-Estrogen plus progestogen
Recommended treatment for hot flashes in breast cancer survivor
- accurate answers-Paroxetine
Contraindication for systemic hormone therapy
- accurate answers-Unexplained vaginal bleeding
Non-hormonal medication effective for menopausal sleep disturbances
- accurate answers-Gabapentin
Primary risk factor for osteoporosis in postmenopausal women
- accurate answers-Estrogen deficiency
Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA scan
- accurate answers-Osteoporosis
, Gabapentin
- accurate answers-Improves sleep and reduces hot flashes in menopausal
women.
T-score of -2.8 on DEXA scan
- accurate answers-Indicates osteoporosis.
First-line medication for postmenopausal osteoporosis treatment
- accurate answers-Bisphosphonates.
Recommended daily calcium intake for women aged 51-70 years
- accurate answers-1200 mg.
Medication that reduces fracture risk and breast cancer risk
- accurate answers-Raloxifene.
Cardiovascular risk factor that increases significantly after menopause
- accurate answers-Coronary artery disease.
Contributing factor to elevated LDL cholesterol post-menopause
- accurate answers-Estrogen decline.
Common metabolic change in postmenopausal women
- accurate answers-Increased visceral fat.
Most effective intervention to reduce cardiovascular risk in postmenopausal
women
- accurate answers-Lifestyle modification.
Best approach for a woman on HT asking about cardiovascular safety
- accurate answers-Use lowest effective dose.
Most common symptom of genitourinary syndrome of menopause (GSM)
- accurate answers-Vaginal dryness.
First-line treatment for vaginal atrophy in postmenopausal women
- accurate answers-Vaginal estrogen.
Questions and Answers 2025\2026 A+ Grade
Median age of natural menopause
- accurate answers-51 years
Characteristic hormonal change in menopause transition
- accurate answers-Declining estrogen
Reproductive stage of a 49-year-old with irregular periods and vasomotor
symptoms
- accurate answers-Perimenopause
Definition of postmenopause
- accurate answers-12 consecutive months without menstruation
Laboratory finding supporting menopause diagnosis in a 52-year-old woman
- accurate answers-Elevated FSH (>25 IU/L)
Most effective treatment for moderate-to-severe hot flashes
- accurate answers-Hormone therapy
Hormone therapy regimen for postmenopausal woman with intact uterus
- accurate answers-Estrogen plus progestogen
Recommended treatment for hot flashes in breast cancer survivor
- accurate answers-Paroxetine
Contraindication for systemic hormone therapy
- accurate answers-Unexplained vaginal bleeding
Non-hormonal medication effective for menopausal sleep disturbances
- accurate answers-Gabapentin
Primary risk factor for osteoporosis in postmenopausal women
- accurate answers-Estrogen deficiency
Diagnosis for a 60-year-old woman with a T-score of -2.8 on DEXA scan
- accurate answers-Osteoporosis
, Gabapentin
- accurate answers-Improves sleep and reduces hot flashes in menopausal
women.
T-score of -2.8 on DEXA scan
- accurate answers-Indicates osteoporosis.
First-line medication for postmenopausal osteoporosis treatment
- accurate answers-Bisphosphonates.
Recommended daily calcium intake for women aged 51-70 years
- accurate answers-1200 mg.
Medication that reduces fracture risk and breast cancer risk
- accurate answers-Raloxifene.
Cardiovascular risk factor that increases significantly after menopause
- accurate answers-Coronary artery disease.
Contributing factor to elevated LDL cholesterol post-menopause
- accurate answers-Estrogen decline.
Common metabolic change in postmenopausal women
- accurate answers-Increased visceral fat.
Most effective intervention to reduce cardiovascular risk in postmenopausal
women
- accurate answers-Lifestyle modification.
Best approach for a woman on HT asking about cardiovascular safety
- accurate answers-Use lowest effective dose.
Most common symptom of genitourinary syndrome of menopause (GSM)
- accurate answers-Vaginal dryness.
First-line treatment for vaginal atrophy in postmenopausal women
- accurate answers-Vaginal estrogen.
